Aida Luz Fernandez Montanez, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

9359 Issued in PR

Practice address

Avenida Boulevard del Rio
Humacao, PR 00792

Phone

(787) 852-1400

Fax

(787) 852-9020

NPI assigned

Sep 25, 2006

Last updated

Dec 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1073614178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALLE FARIS SANTIAGO",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713019",
            "telephone_number": "787-733-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA BOULEVARD DEL RIO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-852-1400",
            "fax_number": "787-852-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MONTANEZ",
        "first_name": "AIDA",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PR",
            "license": "9359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Nueva-Humacao LLC
• Farmacia San Jose Humacao LLC (Farmacia San Jose)
• Farmacias Feliciano, Inc
• Shirley Ann Feliciano Ortega, MS
• Jose I Feliciano, MD
• Jose L Fernandez Pereyo, DMD
• Luis M Fernandez-Brito, M.D.
• Beatriz Hercilia Fernandez, MD
• Juan C Fernandez, D.M.D.
• Viviana Aija Ferrer Martes

• Occupational Medicine Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Occupational Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.